Organization · Type 2 NPI

Delta Phoenix Medical Consulting

Family Nurse Practitioner · Southaven, MS

NPI number 1174309819 Active

Practice location

940 Church Rd W Ste A2
Southaven, MS 38671-9611

Fax (662) 536-6640

Other practice locations

  • 333 Highway 6 W Ste A, Batesville, MS 38606-2558 · (662) 502-5373

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1174309819

Delta Phoenix Medical Consulting's National Provider Identifier is 1174309819, issued on Sep 7, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southaven, MS. The record was last updated on Nov 7, 2023.